Nedra Johnson is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Dallas, TX. Nedra Johnson practices in Dallas, TX. The NPI Number for Nedra Johnson is 1265941512 and holds a License No. (Texas).
The current practice location address for Nedra Johnson is 5409 N Jim Miller Rd Ste 211, Dallas, TX and can be reached out via phone at 214-280-0379 and via fax at 214-817-2571. You can also correspond with Nedra Johnson through the mailing address at PO BOX 270376, DALLAS, TX - 75227-0376 (mailing address contact number: 214-280-0379).
Location: 5409 N Jim Miller Rd Ste 211, Dallas, TX, 75227-0376
Provider Profile Details
NPI Number
1265941512
Provider Name
Nedra Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
5409 N Jim Miller Rd Ste 211, Dallas, TX, 75227-0376
Phone Number
214-280-0379
Fax Number
214-817-2571
Provider Enumeration Date
09/28/2017
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
5409 N Jim Miller Rd Ste 211
City
State
Zip
75227-1523
Phone Number
214-280-0379
Fax Number
214-817-2571
Provider Business Mailing Address Details
Address
Po Box 270376
City
State
Zip
75227-0376
Phone Number
214-280-0379
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
License No.
()
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Provider's Taxonomy Details 3
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
Renal Dialysis
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
License No.
()
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
Provider's Taxonomy Details 5
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Provider's Taxonomy Details 6
Type
Agencies
Classification
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Speciality
-
Taxonomy
License No.
()
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
Provider's Taxonomy Details 7
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 8
Type
Agencies
Classification
Foster Care Agency
Speciality
-
Taxonomy
License No.
()
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
Provider's Taxonomy Details 9
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 10
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Provider's Taxonomy Details 11
Type
Suppliers
Classification
Home Delivered Meals
Speciality
-
Taxonomy
License No.
()
Definition
Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral.
Provider's Taxonomy Details 12
Type
Transportation Services
Classification
Transportation Network Company
Speciality
-
Taxonomy
License No.
()
Definition
A ride-sharing company that provides prearranged or contracted non-emergency medical transportation services to patients through mobile or online technology.
Provider's Taxonomy Details 13
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Provider's Taxonomy Details 14
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
License No.
()
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
Provider's Taxonomy Details 15
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
License No.
()
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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